2020-07-14T12:54:24-05:00 2019-06-30 550657218 HESS STEWART & CAMPBELL PLLC PO BOX 1060 HUNTINGTON WV 257131060 990 2018-07-01 550564945 UNIVERSITY PHYSICIANS & SURGEONS INC UNIV 3046911650 1001 TENTH AVENUE HUNTINGTON WV 25701 JOHN M STRAUB CFO 3046911650 2020-07-13 1 JOHN G HESS P00133027 3045236464 96.75.215.193 2020-07-13 16:34:24 ED P 2411D977AB9458ED77C5E90181A0F107278803E2 87ED363C7BD73117F242FBADFBE42D4BD862F718 2018 2021-01-29 14:40:06Z BETH HAMMERS 1001 TENTH AVENUE HUNTINGTON WV 25701 235847300 0 X WWW.MARSHALLHEALTH.ORG/ X 1976 WV UNIVERSITY PHYSICIANS & SURGEONS, INC. IS A NOT-FOR-PROFIT ORGANIZATION INCORPORATED IN THE STATE OF WEST VIRGINIA. THE MEMBERSHIP OF THE ORGANIZATION CONSISTS OF PHYSICIANS WHO ARE FACULTY MEMBERS OF THE MARSHALL UNIVERSITY SCHOOL OF MEDICINE (MUSOM).REVENUES OF THE ORGANIZATION ARE USED FOR THE PUBLIC PURPOSE OF FURTHERING THE GOALS AND OBJECTIVES OF THE MUSOM AND ARE DERIVED PRINCIPALLY FROM BILLINGS FOR MEDICAL SERVICES FURNISHED BY THE ORGANIZATION'S MEMBERSHIP WITHIN THE SCOPE OF THEIR DUTIES AS FACULTY OF THE MUSOM. 10 0 1655 0 39964359 66460 1425543 2668154 186244454 213359608 1434999 1246219 918960 807619 190023956 218081600 2233591 2505050 0 0 126690838 138563736 0 0 0 50022708 73432560 178947137 214501346 11076819 3580254 115129993 122182614 62325231 64676349 52804762 57506265 UNIVERSITY PHYSICIANS & SURGEONS, INC. (THE CORPORATION) IS A NOT-FOR PROFIT ORGANIZATION INCORPORATED IN THE STATE OF WEST VIRGINIA. THE MEMBERSHIP OF THE CORPORATION CONSISTS OF PHYSICIANS WHO ARE FACULTY MEMBERS OF THE MARSHALL UNIVERSITY SCHOOL OF MEDICINE. 0 0 196977588 2505050 173607684 THE CORPORATION SUPPORTED THE FACULTY PHYSICIANS OF THE SCHOOL OF MEDICINE IN THEIR PROVISION OF MEDICAL SERVICES WITH APPROXIMATELY 641,579 PATIENT ENCOUNTERS. 196977588 1 1 0 0 0 0 0 0 1 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 234 0 1655 1 1 1 0 0 0 0 0 0 0 0 0 X 10 0 0 0 0 0 0 1 0 1 0 0 0 1 1 0 0 1 1 1 1 0 WV X THE ORGANIZATION 3046911650 1001 TENTH AVE HUNTINGTON WV 25701 JOSEPH SHAPIRO CHAIRMAN 15.00 X X 362100 297180 33000 F LAYTON COTTRILL MU PRESIDENT DESIGNEE 1.00 X 22900 171081 11112 PAULETTE WEHNER DIRECTOR 35.00 X 155000 221884 21113 MEHIAR EL-HAMDANI DIRECTOR 60.00 X 332412 258570 32014 STEPHEN PETRANY DIRECTOR 30.00 X 122217 265004 21433 JOSEPH EVANS SECRETARY/TREASURER 50.00 X X 208329 54995 15200 JAMES BECKER DIRECTOR 30.00 X 241500 77644 18159 SUZANNE HOLROYD DIRECTOR 32.00 X 171015 315240 23125 DAVID JUDE DIRECTOR 36.00 X 132511 255233 22689 ADRIENNE MAYS DIRECTOR 24.00 X 102692 93353 9920 LARRY DIAL VICE-CHAIRMAN 50.00 X X 243571 193964 21058 BETH HAMMERS EXECUTIVE DIRECTOR 50.00 X 308000 0 15000 JOHN STRAUB CFO 50.00 X 228000 0 12000 MICHAEL MCCARTHY CIO 30.00 X 104176 99124 10444 NATHAN WARD COO 50.00 X 168846 0 8481 ALI OLIASHIRAZI PHYSICIAN 100.00 X 887700 352724 33000 ANTHONY ALBERICO PHYSICIAN 55.00 X 874821 68104 20586 VISHAL VERMA PHYSICIAN 40.00 X 1105391 25000 18000 NADIM BOU ZGHEIB PHYSICIAN 32.00 X 930933 52355 19641 RIDA MAZAGRI PHYSICIAN 65.00 X 932253 25864 18052 JOSEPH W WERTHAMMER EX-VICE CHAIRMAN 30.00 X 365639 0 16500 8000006 2827319 400527 253 1 1 0 PST SERVICES INC PO BOX 742526 ATLANTA GA 303742526 PATIENT ACCOUNTING SERVICES 3959562 ALLSCRIPTS LLC 24630 NETWORK PLACE CHICAGO IL 606731246 IT SERVICES 1369614 CERIDIAN INC PO BOX 772830 CHICAGO IL 606772830 HR/PAYROLL SERVICES 327509 EP LEACH & SONS INC PO BOX 1823 HUNTINGTON WV 25719 GENERAL CONTRACTOR 308306 UPTODATE INC PO BOX 412094 BOSTON MA 022412094 CLINICAL DECISIONS SUPPORT SERVICE 266154 12 2157157 510997 2668154 HEALTH CARE SERVICES 621111 213359608 173395249 39964359 213359608 1080939 1080939 595184 0 595184 595184 595184 17930980 17713730 51970 217250 -51970 165280 165280 FORFEITED RETIREMENT PREMIUMS 900099 212435 212435 212435 218081600 173607684 39964359 1841403 2505050 2505050 3268909 3007396 261513 116936294 107581390 9354904 4888378 4497308 391070 6670454 6136818 533636 6799701 6255724 543977 651668 651668 78524 78524 17572077 13768584 3803493 654545 602181 52364 6279384 5777033 502351 2370261 2180640 189621 265892 244621 21271 1886871 1735921 150950 333856 333856 2272877 2091047 181830 2228942 2050627 178315 MEDICATIONS AND MEDICAL 35157469 35157469 RECRUITMENT AND EMPLOYE 1705012 1568611 136401 REPAIRS AND MAINTENANCE 1202278 1106096 96182 PROFESSIONAL DUES AND M 772904 711072 61832 214501346 196977588 17523758 0 13523 12389 13149682 10818370 11746171 12108945 3100073 3798483 936514 2776489 32684000 9230945 20173320 23453055 46880011 49568266 19130699 19646617 115129993 122182614 21466448 22166662 5368208 5240701 11727817 12079430 23762758 25189556 62325231 64676349 X 52091009 56801569 713753 704696 52804762 57506265 115129993 122182614 3580254 1121249 0 X 0 1 X 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 261189 261189 15806471 1257310 14549161 3429365 1090035 2339330 13186975 6883600 6303375 23453055 CONTRACTS RECEIVABLE 11173259 INTANGIBLES, DEPOSITS AND OTHER ASSETS 4358 INSURANCE RECOVERIES RECEIVABLE 8469000 19646617 CONTINGENT PROFESSIONAL LIABILITY 16485736 OPEB LIABILITY 2192000 FICA TAX REFUND LIABILITY 350168 OTHER LIABILITIES 6161652 25189556 219202849 1121249 1121249 218081600 0 218081600 214501346 0 214501346 0 214501346 PART IV, LINE 2B: THE ORGANIZATION MAINTAINS FUNDS ON BEHALF OF THE MARSHALL UNIVERSITY SCHOOL OF MEDICINE. THESE FUNDS ARE UNCLAIMED MONIES FROM A LEGAL SETTLEMENT AGREEMENT WITH THE MANUFACTURER OF THE DIABETES DRUG, REZULIN, THAT WERE DISTRIBUTED TO THE ORGANIZATION TO BE HELD ON BEHALF OF THE MARSHALL UNIVERSITY SCHOOL OF MEDICINE. SCHEDULE D (FORM 990), PART X PART X: THERE WERE NO UNCERTAIN TAX POSITIONS INDICATED IN THE AUDITED FINANCIAL STATEMENTS. 1 MARSHALL UNIVERSITY RESEARCH CORP 1 JOHN MARSHALL DRIVE HUNTINGTON WV 25755 550683361 501(C)(3) 224300 COST RECOVERY & STARTUPS MARSHALL UNIVERSITY 1 JOHN MARSHALL DRIVE HUNTINGTON WV 25701 556000789 501(C)(3) 221550 VARIOUS SCHOLARSHIPS & DEVELOPMENT FOUNDATION FOR THE TRI-STATE COMMUNITY INC P O BOX 2096 ASHLAND KY 41105 610729266 501(C)(3) 12500 MYHUNTINGTON CAMPAIGN CABELL HUNTINGTON HOSPITAL 1340 HAL GREER BLVD HUNTINGTON WV 25701 550675666 501(C)(3) 11425 DONATIONS & SPONSORSHIPS MARSHALL ARTIST SERIESMARSHALL UNIVERSITY FOUNDATION INC 1 JOHN MARSHALL DRIVE HUNTINGTON WV 25701 556011111 501(C)(3) 7500 SCHOLARSHIP THE RECOVERY POINT 2425 9TH AVENUE HUNTINGTON WV 25701 262002618 501(C)(3) 5382 DONATIONS AMERICAN HEART ASSOCIATION PO BOX 50065 PRESCOTT AZ 86304 135613797 501(C)(3) 5170 SCHOLARSHIP 7 0 PART I, LINE 2: THE CORPORATION'S PURPOSE IS TO SUPPORT THE FACULTY PHYSICIANS OF THE MARSHALL UNIVERSITY SCHOOL OF MEDICINE. CONTRIBUTIONS TO MARSHALL UNIVERSITY ARE DESIGNATED FOR THIS PURPOSE. X X 0 0 0 0 0 1 0 0 0 JOSEPH SHAPIRO CHAIRMAN 362100 297180 0 0 0 0 16500 16500 0 0 378600 313680 0 0 F LAYTON COTTRILL MU PRESIDENT DESIGNEE 22900 166364 0 0 0 4717 1224 9888 0 0 24124 180969 0 0 PAULETTE WEHNER DIRECTOR 155000 221884 0 0 0 0 7800 13313 0 0 162800 235197 0 0 MEHIAR EL-HAMDANI DIRECTOR 332412 258570 0 0 0 0 16500 15514 0 0 348912 274084 0 0 STEPHEN PETRANY DIRECTOR 122217 265004 0 0 0 0 5533 15900 0 0 127750 280904 0 0 JOSEPH EVANS SECRETARY/TREASURER 208329 54995 0 0 0 0 11900 3300 0 0 220229 58295 0 0 JAMES BECKER DIRECTOR 241500 77644 0 0 0 0 13500 4659 0 0 255000 82303 0 0 SUZANNE HOLROYD DIRECTOR 171015 315240 0 0 0 0 6625 16500 0 0 177640 331740 0 0 DAVID JUDE DIRECTOR 132511 255233 0 0 0 0 7375 15314 0 0 139886 270547 0 0 ADRIENNE MAYS DIRECTOR 102692 93353 0 0 0 0 4422 5498 0 0 107114 98851 0 0 LARRY DIAL VICE-CHAIRMAN 243571 193964 0 0 0 0 9420 11638 0 0 252991 205602 0 0 BETH HAMMERS EXECUTIVE DIRECTOR 308000 0 0 0 0 0 15000 0 0 0 323000 0 0 0 JOHN STRAUB CFO 228000 0 0 0 0 0 12000 0 0 0 240000 0 0 0 MICHAEL MCCARTHY CIO 104176 99124 0 0 0 0 4600 5844 0 0 108776 104968 0 0 NATHAN WARD COO 168846 0 0 0 0 0 8481 0 0 0 177327 0 0 0 ALI OLIASHIRAZI PHYSICIAN 887700 352724 0 0 0 0 16500 16500 0 0 904200 369224 0 0 ANTHONY ALBERICO PHYSICIAN 874821 68104 0 0 0 0 16500 4086 0 0 891321 72190 0 0 VISHAL VERMA PHYSICIAN 1105391 25000 0 0 0 0 16500 1500 0 0 1121891 26500 0 0 NADIM BOU ZGHEIB PHYSICIAN 930933 52355 0 0 0 0 16500 3141 0 0 947433 55496 0 0 RIDA MAZAGRI PHYSICIAN 932253 25864 0 0 0 0 16500 1552 0 0 948753 27416 0 0 JOSEPH W WERTHAMMER EX-VICE CHAIRMAN 365639 0 0 0 0 0 16500 0 0 0 382139 0 0 0 PART I, LINE 6 ADDITIONAL SALARY SUPPLEMENTS ARE PAID BY THE CORPORATION MAY BE AUTHORIZED FROM CLINICAL SERVICE INCOME SUBJECT TO THE SPECIFIC WRITTEN RECOMMENDATION OF THE DEPARTMENT CHAIR AND WRITTEN APPROVAL OF THE DEAN. SUCH SUPPLEMENTS ARE SUBJECT TO THE AVAILABILITY OF FUNDS AND ARE THEREFORE, DISCRETIONARY IN NATURE AND ARE NOT GUARANTEED. THE PAYMENT OF SUCH A SUPPLEMENT DOES NOT GUARANTEE FURTHER SUPPLEMENTS OR AFFECT THE SALARY COMPONENTS. FORM 990, PART VI, SECTION A, LINE 7A MEDICAL DEPARTMENT HEADS OF THE ORGANIZATION HAVE THE RIGHT TO DETERMINE TWO MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE CHIEF FINANCIAL OFFICER REVIEWS THE COMPLETED DRAFT OF THE FORM 990 PREPARED BY A CERTIFIED PUBLIC ACCOUNTING FIRM. ONCE THE RETURN IS APPROVED, IT IS SIGNED BY THE CFO AND COPIES ARE DISTRIBUTED TO THE BOARD OF DIRECTORS FOR REVIEW BEFORE SUBMITTING IT TO THE IRS, TIME PERMITTING. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE DIRECTOR'S SALARY IS REVIEWED AND APPROVED BY THE DEAN OF MARSHALL UNIVERSITY'S SCHOOL OF MEDICINE IN HIS CAPACITY AS BOTH DEAN OF THE RELATED ORGANIZATION AND EX OFFICIO CHAIR OF THE ORGANIZATION'S BOARD OF DIRECTORS. COMPARATIVE SALARY INFORMATION FROM THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES' GROUP ON BUSINESS AFFAIRS AND GROUP ON FACULTY PRACTICE AS WELL AS THE MEDICAL GROUP MANAGEMENT ASSOCIATION IS EXAMINED BY THE DEAN. SALARIES OF ALL MAJOR CLINICAL DEPARTMENT CHAIRS, EXECUTIVE MANAGEMENT TEAM MEMBERS AND DEPARTMENTAL ADMINISTRATORS ARE ALSO REVIEWED AND APPROVED UTILIZING A SIMILAR PROCESS. FORM 990, PART VI, SECTION C, LINE 18 FORM 990 IS MAINTAINED AT THE ORGANIZATION'S ADMINISTRATIVE OFFICES AND IS MADE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE FOR PUBLIC REVIEW, BUT ARE DISTRIBUTED AMONG THE DEPARTMENTS WITHIN THE ORGANIZATION. THE FINANCIAL STATEMENTS CAN BE ACCESSED BY LETTER, IN PERSON OR VIA WEB SEARCH. MARSHALL UNIVERSITY 1 JOHN MARSHALL DRIVE HUNTINGTON WV 25701 556000789 HIGHER EDUCATION WV 501(C)(3) LINE 2 0 0 1 1 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0